Vaglum S, Vaglum P
Psychiatric Department B, Ullevål University Hospital, Oslo, Norway.
Acta Psychiatr Scand. 1987 Sep;76(3):309-16. doi: 10.1111/j.1600-0447.1987.tb02900.x.
Sixty-four consecutive DSM-III alcoholic female psychiatric patients (A-group) were compared with 65 non alcoholic women from the same psychiatric units. The A-women more often had nervous sisters. They were younger at the first intercourse, had had more frequent intercourses during the last year, more often had a poor relationship with their children. They had had more heterosexual partners, living-together relationships and divorces, and had more often a dependent adult relationship. The mean age of the first nervous symptoms and of coming to psychiatry was significantly lower in the A-group, and they had more suicidal attempts and criminality. During childhood, adolescence and adult age, they reacted more often to losses with acting out and alcohol abuse. Nervous problems and close contact difficulties seem to have manifested themselves mostly before the alcohol abuse was established.
对连续64名符合《精神疾病诊断与统计手册》第三版(DSM - III)标准的女性酒精成瘾精神病患者(A组)与来自同一精神科病房的65名非酒精成瘾女性进行了比较。A组女性的姐妹患神经症的情况更为常见。她们首次性交的年龄更小,在过去一年中性交更为频繁,与子女关系不佳的情况更为常见。她们有更多的异性伴侣、同居关系和离婚经历,并且更常处于依赖的成人关系中。A组出现首次神经症状和前来精神科就诊的平均年龄显著更低,而且她们有更多的自杀未遂和犯罪行为。在童年、青少年和成年时期,她们更常通过行为表现和酗酒来应对失去。神经问题和亲密关系困难似乎大多在酒精成瘾确立之前就已显现。